Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122400000X | Denturist | 2901018140 | MI |
NPI | 1689743379 |
---|---|
Provider Name | Dr. Salwan H Francis |
First Address | Oak Park, MI 48237 |
Second Address | Oak Park, MI 48237 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
124326979 | (05) | MI |